| NPI | 1194551358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENGLISH PAIGE ROBERTS Owner 423-506-3781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |